The One21seventy CQI cycle

The One21seventy CQI cycle is implemented over a twelve-month period. The activities undertaken within the cycle assist health centres to understand and demonstrate the quality of their care processes and health outcomes.

Figure 1: The six steps of the One21seventy CQI cycle

Steps 1-5 should take less than three months to complete; health centres then implement their goals and actions over the remainder of the year.

The six steps of the One21seventy CQI cycle

Step One: Signed Agreement

• Contract negotiations occur at the State or regional level.

Step Two: Orientation/Training

• 2 day Foundation Training course for CQI Staff
• Simple, user friendly One21seventy manual
• Telephone and email helpdesk
• Access to One21sventy CQI resources
• Prepared, educated and supported workforce

Step Three: Data Collection: Clinical Audits, Systems Assessment, and Health Centre and Community Survey

• A suite of clinical audit tools
• Efficient sampling processes
• Simple protocols for each tool
• Systems Assessment Tool
• Secure data management /  storage system

Step Four: Data Analysis and Reporting

• An interactive website
• Direct data entry
• Immediate data analysis
• Prompt data reporting

Step Five: Participatory Interpretation, Goal Setting and Action Planning

• Training and support in goal setting and action planning
• Templates and resources for goal setting and action planning
• Website entry, storage and update of actions and goals
• Negotiated facilitation services throughout cycle

 Step Six: Implementation

• Regular telephone support to CQI staff
• Membership in a professional network of primary health care centres, providers and CQI staff